PTSA Membership Form

Thank you for your interest in joining the STEM NCAT PTSA!  Please print and fill out the form below and return it to the school along with your $10.00 membership fee*.  When the STEM NCAT PTSA gets involved, children benefit.  When you get involved with the STEM NCAT PTSA, the child who benefits the most is your own.

Member’s Name: _________________________________________________________

Address: ________________________________________________________________

Telephone Number (s):

Home: ______________________________                 Cell: ____________________________

Email Address: ___________________________________________________________

Child’s Name: _______________________________________

Would You Like to be in the STEM NCAT PTSA Directory? __________Yes __________No


Additional Members: ($10.00 per membership request)

Name: _____________________________________________________________

Email Address: ______________________________________________________


Name: _____________________________________________________________

Email Address: ______________________________________________________


Name: _____________________________________________________________

Email Address: ______________________________________________________


Name: _____________________________________________________________

Email Address: ______________________________________________________


*Please make checks payable to STEM NCAT PTSA

Mail to:

STEM NCAT PTSA
Smith Hall - Room 0044
402 Laurel Road
Greensboro, NC 27411

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